Do you have any allergies or reactions to stings, bites, food, animals etc.. ?

Do you have any cultural or religious beliefs that may affect emergency medical treatment?

No Yes

If yes, please give details below

Emergency Contact - Only 1 required

Name:

Contact No.:

Relationship:

Name:

Contact No.:

Relationship:

Travel Insurance

Do you have Travel Insurance?

No Yes

Please note travel insurance is required in order to travelExisting travel insurance details:

Assumption of Risk

I declare that the answers to all questions are correct and that I have not withheld any information or material that may determine my ability to participate in the aforementioned adventure tour/event. I agree that I will not take any legal or illegal substance before or during the tour/event that may affect my judgement or physical responses during the event/tour.

I am aware that during my participation in any event/tour arranged by Adventurous Women, its employees or agents, certain risks or dangers may occur which may include, amongst others:

Physical exertion to which I may not be accustomed

Extremes of weather and temperature, including sudden and unexpected change

The hazards of travelling in remote and rugged terrain

The possibility of accident or illness remote from normal medical services

Difficulties of evacuation if I am disabled

I acknowledge that the enjoyment and excitement of adventure tours/events are derived in part from risks incurred by participation in those activities, and that these risks may exceed those commonly accepted at work or at home.

I accept all the above mentioned risks of my tour/event, and the possibility of personal injury, loss or property damage resulting therefrom and will hold Adventurous Women, their employees and agents free from any and all liability, actions, debts, claims and demands of any nature whatsoever, subject to the rights and privileges which apply under the Fair Trading Act (1984), the Trade Practices Act (1974), & the Civil Liability Amendment Act 2003. In entering this agreement I am not relying on any representations made by or on behalf of Adventurous Women, but do so only of my own free will.

FIRST AID CONSENT

In the event I suffer injury or illness, Adventurous Women have my consent to administer first aid and may arrange such medical treatment and emergency evacuation as considered necessary for my safety.

I confirm that I have read and understood this agreement prior to signing it, and it shall be binding upon my heirs, executors, assigns and next of kin.

Adventurous Women may use photographs taken during this tour/event in promotional and advertising material. These photographs will not be on sold to any third party and will only be used in the promotion and advertising of Adventurous Women tours/events and initiatives. Please let Adventurous Women know if you DO NOT want your images used.

Terms & Conditions

Overseas Travel

Each of our Tour Operators/Service Providers have their own booking conditions & cancellation policy over and above those of Adventurous Women's booking conditions, please ensure you request them and read them carefully.

Adventurous Women's Cancellation Policy can be viewed at the bottom of this website under the heading 'Cancellation Policy'. Please ensure you read it carefully, as by paying your deposit, you acknowledge that you accept this cancellation policy, over and above that of our Service Providers.